BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ULTRA CARE EXAM GLOVE-SMALL

    MDR report key: 141335 · Received January 2, 1998

    Report

    Report Number
    MW1012727
    Event Type
    Injury
    Date Received
    January 2, 1998
    Date of Event
    December 22, 1997
    Report Date
    December 24, 1997
    Manufacturer
    TILLOTSON HEALTHCARE CORP.
    Product Code
    LYY
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    HAD WORN GLOVES APPROX 20 MINS-WASHED HANDS AFTER REMOVING. TOUCHED FACE, NEAR EYES, USER IS NOT SURE IF DID AFTER OR BEFORE WASHING HANDS. WITHIN 10 MINS EYES STARTED ITCHING, FACE BROKE OUT IN HIVES, STARTED SNEEZING. DENIES ANY REDNESS OR HIVES ON HANDS OR OTHER PARTS OF BODY. TREATED IN ER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ULTRA CARE EXAM GLOVE-SMALL HYPOALLERGENIC POLYTEX BLEND EXAM GLOVE LYY TILLOTSON HEALTHCARE CORP. * R6A 04117

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Required Intervention